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Individual

MR. BRADFORD D LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
102 EMILY DR, CLARKSBURG, WV 26301-5501
(304) 623-4488
(304) 623-0157
Mailing address
102 EMILY DR, CLARKSBURG, WV 26301-5501
(304) 623-4488
(304) 623-0157

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3278
WV

Other

Enumeration date
02/12/2010
Last updated
02/12/2010
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